Image Credit - WIRED

BioOrbit Leads Space Medicine

August 27,2024

Technology

Harnessing Space to Revolutionize Cancer Treatment 

BioOrbit: Bridging Space and Medicine 

Immunotherapy offers immense promise in the fight against cancer, yet it faces a significant hurdle: time-consuming administration. It works by harnessing the body's natural defenses to target and destroy cancer cells. However, the drugs involved typically require intravenous infusions – a lengthy and invasive process. Patients endure hours in the hospital setting while medications are delivered directly into their bloodstream. 

A simpler, less painful alternative would be subcutaneous injections, administered from the comfort of a patient's home. Unfortunately, this requires much higher drug concentrations, leading to a thick, viscous solution that cannot be easily injected. 

However, there's a solution. Crystallizing the drug proteins allows for higher concentrations in a smaller volume, producing a less viscous solution of tiny crystals. The catch? Achieving this on Earth is nearly impossible. Attempts result in imperfect crystals of varying sizes. Yet, in space, free from the Earth's gravity, protein crystals form flawlessly. 

This is where BioOrbit enters the picture. Its founder, Katie King, holds a PhD in nanomedicine from the University of Cambridge and has always harbored a fascination with space. During her studies, she grew frustrated by the cynicism surrounding the commercialization of space. "I always had this belief that space should be used to help those on Earth," King says. 

After Cambridge, King sought a scientific position in the space sector, determined to put her belief into action. Her search proved unsuccessful, so in 2022, she enrolled in a summer program at the International Space University. The organization provides specialized training for those seeking a career within the space industry. 

Revolutionizing Cancer Treatment Beyond Earth 

During the program, King's team focused on identifying research with the potential for the greatest positive impact on humanity. They zeroed in on crystallizing drugs in microgravity. Data collected on the International Space Station (ISS) suggested this held the potential to "absolutely revolutionize cancer treatment," according to King. "This needs to be realized fully, and now is the time." 

Founded in 2023, BioOrbit aims to scale up and commercialize this unique form of drug production in space. With funding from the European Space Agency, they plan an early 2024 test on the ISS to ensure the process functions as intended. A second flight, ideally involving a pharmaceutical partner, is scheduled for later in 2025. 

King isn't the first to explore the benefits of microgravity for drug development. Major pharmaceutical companies, including Bristol Myers Squibb and Merck, have investigated space-based research for years. "What makes BioOrbit special is that they're trying to optimize it," says Li Shean Toh, an assistant professor at the University of Nottingham specializing in astropharmacy. King's vision is to expand it to a commercial scale. 

BioOrbit

Image Credit - Indian Flash

Challenges and Aspirations for BioOrbit 

Challenges exist, of course. Gaining access to space aboard a rocket is both expensive and subject to long wait times. Additionally, regulations pose another obstacle. Will Earth-based rules apply in space? In the case of adverse effects from a BioOrbit drug, under whose jurisdiction would the matter fall? "Lots of people are thinking about the technology—but people are kind of skirting around how we are going to do quality assurance," Toh says. This is a key focus of her research, including a proposed health-focused version of the Outer Space Treaty, which established the principles of international space law. 

King welcomes BioOrbit serving as a test case for navigating these uncharted territories because she deeply believes in the mission. "There is so much benefit that microgravity can give to life science research, drug development, cancer research—and more that we just don't know yet," says King. 

Her ultimate goal is a permanent space-based BioOrbit facility dedicated to science, research, and manufacturing. The familiar image of pharmaceutical factories in bland industrial parks may soon acquire a decidedly extraterrestrial flavor. One day, it's possible that many of the medications we rely on will have taken a brief journey into space. 

Microgravity: The Key to Improved Drug Delivery? 

Microgravity offers unique advantages for drug development. Firstly, protein crystals grown in the weightlessness of space exhibit superior uniformity, size, and quality compared to those formed on Earth. This enhanced structure can potentially translate into better drug delivery and more effective treatments. 

Additionally, researchers have observed that microgravity can alter the behavior of cells in ways that could unlock new opportunities in drug development. For instance, cells grown in space may form three-dimensional structures, mimicking how tissues form in the body. Studying their behavior in this environment allows for more accurate testing of drug effectiveness. 

However, microgravity isn't a magic solution. Scientists must carefully optimize drug formulations for stability and performance in space. The lack of gravity means that ingredients within a drug might behave differently. Bubbles and mixtures of liquids that normally separate on Earth may remain in suspension in space. This could potentially alter how a drug works. Therefore, rigorous testing and adjustments become crucial. 

The Challenge of Access and Cost 

While the potential of space-based manufacturing is exciting, accessing the necessary resources for large-scale production presents a significant challenge. Currently, launches to the ISS are infrequent and costly. This creates bottlenecks and potentially long wait times for companies like BioOrbit. 

Moreover, to maximize the benefits of microgravity, production facilities may need to be in orbit for extended periods. This raises complex questions about managing a remote, space-based workforce. The costs associated with maintaining equipment and personnel in such a specialized environment would be substantial. 

"We understand the costs involved, and that's why we're working with various agencies to explore funding models and reduce our launch expenses," explains King. "We envision scenarios where there might be government-funded satellites that offer a shared infrastructure for companies like ours." 

The Expanding Landscape of Space-Based Research 

BioOrbit isn't alone in its pursuit of harnessing space for medical breakthroughs. A growing number of companies and research institutions are recognizing the field's potential. 

For example, SpacePharma specializes in microgravity research platforms that can host various experiments on the ISS. Companies like LambdaVision are working on manufacturing artificial retinas within the unique environment of space, with the aim of restoring lost vision. These ventures highlight the expanding range of medical research and manufacturing that could benefit from space. 

"It's an incredibly exciting time for astropharmacy," explains Li Shean Toh. "The more research is done, the more possibilities we uncover. We're likely only scratching the surface of what space can teach us about how drugs work and how we can improve them." 

While the road ahead is not without its challenges, the potential rewards are considerable. If companies like BioOrbit succeed, they could usher in a new era of drug development where treatments for cancer and other diseases are manufactured in space, transforming the way we approach healthcare here on Earth. 

Beyond Cancer: Microgravity's Wide-Reaching Potential 

The promise of microgravity in medicine goes far beyond cancer treatment. Its unique properties could revolutionize various aspects of healthcare. Here are just a few exciting possibilities: 

Regenerative Medicine: Space may hold the key to growing tissues and organs for transplantation. Microgravity encourages a 3D formation of cell structures, mirroring how organs naturally develop. This environment could be ideal for growing replacement tissues and even simple organs for patients desperately awaiting transplants. 

Drug Delivery Innovations: Scientists are investigating the use of microgravity to create new drug delivery systems. For example, microcapsules, tiny spheres containing medication, could be manufactured with greater precision in space. Such capsules may allow for more targeted and controlled drug release, potentially reducing side effects and improving outcomes. 

Stem Cell Research: Studying stem cells – the body's "master cells" that can develop into various specialized types – in space could offer valuable insights into diseases and potential cures. Research suggests that microgravity may promote stem cell proliferation, differentiation, and tissue development in ways not possible on Earth. 

Antibiotic Resistance: One of the gravest threats to global health is the rise of antibiotic-resistant bacteria. Studies have shown that bacteria become more virulent in space. While counterintuitive at first, understanding why this happens could lead to new antibiotics or strategies to combat resistant bacterial strains. 

The Ethical Questions 

As with any emerging technology, space-based biomedical research raises ethical considerations. Ensuring equitable access will be crucial. Suppose space-manufactured drugs prove to be significantly more effective than those produced on Earth. In that case, there's a risk of creating a two-tiered healthcare system where wealthy individuals or nations can afford these superior treatments, while others are left behind. 

"We need to start having these ethical conversations now," emphasizes Toh. "Who is this technology for? How do we ensure that the benefits of space research reach everyone in need, not just the privileged few?" 

Another concern is the potential commercialization of space-related medical research. While private investment can accelerate innovation, it also introduces the possibility of prioritizing profit over patient well-being. Finding the right balance between commercial interests and the broader public good is essential. 

BioOrbit

Image Credit - Factories in Space

Investing in the Future 

Despite the inherent challenges, investing in space-based biomedicine holds vast potential. "It's not just about the immediate impact," argues King. "By learning more about how drugs and cells behave in microgravity, we could advance entire areas of medicine. The long-term benefits are immeasurable." 

Governments and private organizations are beginning to recognize the potential. In 2020, NASA formed a partnership with the National Institutes of Health (NIH) to support biomedical research in space. The European Space Agency, along with other international players, also have ongoing initiatives in this field. 

"A collaborative approach is key," Toh stresses. "Governments, researchers, and industry need to work together to develop this field responsibly and effectively. It's a long-term investment, but one that could fundamentally change how we approach healthcare for decades to come." 

Challenges and Collaboration: The Road Ahead 

The path toward realizing the full potential of space-based drug development and manufacturing is undoubtedly complex. To succeed, companies like BioOrbit must overcome a range of technical, financial, and regulatory obstacles. 

One major hurdle is the limited availability and high cost of space launches. Securing a spot aboard a rocket to the ISS can involve lengthy delays and significant expense. Streamlining this process and developing more cost-effective launch options will be pivotal. 

Additionally, manufacturing drugs in space requires specialized equipment and protocols adapted to the unique conditions of microgravity. Designing and deploying these new systems will demand substantial investment and innovation. 

The regulatory landscape is another key area to address. Currently, there is uncertainty about how existing regulations for drug production and testing will apply in the space environment. International cooperation is crucial to develop clear guidelines ensuring the safety and efficacy of drugs manufactured beyond Earth's atmosphere. 

Despite these challenges, the prospects for space-based drug development remain bright. "The potential benefits are enormous, and that's what drives us forward," affirms King. "We understand there are hurdles to overcome, but we're committed to finding solutions." 

Accelerating Space-Based Medicine 

Collaboration is emerging as a key focus for advancing the field. Companies like BioOrbit are actively forming partnerships with agencies, research institutions, and other pharmaceutical companies. These partnerships pool expertise, share resources, and accelerate progress. 

"We can't do this alone," King acknowledges. "Working with others is essential to address the technical challenges, navigate the regulatory framework, and ultimately make these therapies available to patients." 

Universities have a substantial role to play as well. Academic research plays a vital part in exploring new possibilities and training the next generation of scientists who will push the boundaries of space-based medicine. 

A Look Toward the Future 

If the vision of space-based drug development and manufacturing becomes a reality, it has the potential to transform healthcare as we know it. Patients with devastating diseases like cancer could benefit from more effective treatments with potentially fewer side effects. New possibilities could open up in regenerative medicine, potentially leading to breakthroughs in tissue and organ transplantation. 

The future of medicine might look quite different than it does today. We could see orbiting pharmaceutical factories, automated labs in space, and drugs specially formulated for the microgravity environment. 

While there's still a long way to go, the work of companies like BioOrbit, along with the growing scientific interest in space-based research, marks an exciting turning point. The benefits won't be confined to space itself – they extend to breakthroughs here on Earth. The pursuit of medicine in space could lead to advancements that improve the health and well-being of people across the globe. 

The New Frontier of Medicine 

The use of space for medical research and drug development is still in its early stages, but the possibilities are truly revolutionary. While the challenges are undeniable, the commitment of scientists, entrepreneurs, and investors suggests a future where space will play an integral role in healthcare. 

"We're at the cusp of a new era," says Toh. "It's like the early days of aviation, where pioneers were testing boundaries and laying the groundwork for what air travel has become today. Space could have a similar transformative impact on medicine." 

Imagine a world where: 

Cancer therapies are far more effective: Drugs crystallized in space target cancer cells precisely, reducing harsh side effects and potentially curing once-incurable cases. 

Transplant waitlists are a thing of the past: Organs are grown in space on demand, eliminating the agonizing wait and the risk of rejection. 

Chronic conditions are managed with precision: Microgravity allows for the creation of advanced drug delivery systems tailored to the individual patient's needs. 

This picture may seem like science fiction, but the groundwork is being laid today. Success will depend on continued investment, collaboration, and addressing the ethical implications along the way. 

King remains optimistic. "The journey won't be easy, but the rewards are worth pursuing," she says. "We have a chance to make a real difference in people's lives, and I'm determined to be a part of that." 

BioOrbit's story is just one example of the pioneering work underway in this field. As more companies and researchers join the effort, we can expect further breakthroughs and innovations shaping the future of medicine

Beyond Earth, For Earth 

The concept of utilizing space to improve life on Earth is both powerful and inspiring. It offers a reminder of our interconnectedness and the potential for human ingenuity to solve some of our greatest challenges. 

Space-based medical research and drug development embody this spirit. As we venture further into the cosmos, we bring with us the hopes and needs of humanity. The knowledge gained could transform the way we treat diseases, improve health outcomes, and extend the lifespan for people around the globe. 

Perhaps one day, the phrase "space-made medicine" will become as commonplace as "hospital" or "pharmacy." Until then, the work continues – both in the laboratories on Earth and among the countless stars. The ultimate destination isn't just about exploring the final frontier; it's about discovering new ways to heal and enhance the lives of everyone on our own precious planet. 

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